NPI | 1255904777 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER E WHITE CEO 678-435-5055 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
171M00000X Case Manager/Care Coordinator | |
251B00000X Case Management | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2021-07-22 |
Last Update Date | 2021-07-26 |